Cornell Abraxas Group, Inc.
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · South Mountain, PA
NPI 1043340052 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043340052
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- 304420 (PA)
- Legal business name
- CORNELL ABRAXAS GROUP, INC.
- Practice address
- 10058 S Mountain Rd
Building #3
South Mountain, PA 17261-0900 - Phone
- (717) 749-3066
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Jonathan P. Swatsburg
- Title
- Vice President
- Phone
- (412) 208-4000
Corporate family (same tax ID) 10
National Provider Directory
- Tax ID family
- Cornell Abraxas Group LLC
Locations
10058 S Mountain Rd
Bldg 3
South Mountain, PA 17261
Phone (717) 749-3066
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 304420 | PA | Yes |
Addresses
Primary practice location
10058 S Mountain Rd
Building #3
South Mountain, PA 17261-0900
Mailing address
2840 Liberty Ave
Suite 300
Pittsburgh, PA 15222-4706
Phone (412) 208-4000
Other names
- Cornell Companies, Inc.
Other providers in South Mountain, PA
- Usha A Bhargave
- Michael A Caesar
- Alan Feldberg
- Brett W Goglin
- Martin Hudzinski
- Pennsylvania Department of Human Services
- Ann M Shemo
All providers in South Mountain, PA · Emotionally Disturbed Childrens' Residential Treatment Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.